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Sedgwick Claims Management Services

Claims management and risk solutions provider

Workers Compensation Claims Team Lead

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeRemote

About the Job

Requirements

  • Five years of claims management experience or an equivalent combination of education and experience is required.
  • A high school diploma or GED is required.
  • Knowledge of the California or Nevada jurisdiction is required.

Responsibilities

  • Supervise the operation of multiple teams of workers compensation examiners and technical staff for clients.
  • Monitor colleagues' workloads, provide training, monitor individual claim activities, and provide technical and jurisdictional direction on claims adjudication reports.
  • Maintain claim diaries for team claims, including frequent diaries for complex or high-exposure claims.
  • Analyze and process complex or technically difficult general liability claims by investigating and gathering information to determine claim exposure, then manage claims through action plans to timely and appropriate resolution.
  • Manage litigation to ensure timely and cost-effective claims resolution.
  • Coordinate vendor referrals for additional investigation or litigation management.
  • Lead team meetings and assign accountability for follow-up items.
  • Gather compliance and claims-processing information for presentation at team meetings.
  • Assist with interviews of adjusters and clerical staff and provide feedback to the hiring manager.
  • Provide limited assistance to the team lead with monthly reviews of adjuster workloads, note trends, and suggest adjustments; the role may include up to three direct reports.
  • Administer company personnel policies and follow company staffing standards and training recommendations.
  • Interview and hire colleagues, establish colleague performance development plans, and conduct performance discussions.
  • Provide support, guidance, leadership, and motivation to promote performance.

Desired Qualifications

  • A bachelor's degree from an accredited college or university is preferred.
  • Professional certification applicable to the line of business is preferred.

About the Company

Sedgwick Claims Management Services

Claims management and risk solutions provider

Sedgwick manages claims and risk for insurers, corporations, and public entities. Its services cover the full claims lifecycle, including clinical case management, networks, and cost-containment programs, plus specialized work like home inspections and property appraisals. The company operates by charging fees for these managed services that coordinate medical care, assess losses, and support timely resolution. Sedgwick differentiates itself through its integrated, end-to-end approach to claims management and its strong emphasis on caring for people, DEI, and client outcomes. Its goal is to help clients resolve claims efficiently, restore property and brands, and reduce costs through targeted resources deployed at the right time to improve outcomes.

Company size
10,001+
Company stage
Growth Equity (Non-Venture Capital)
Total funding
$1.5B
Headquarters
Memphis, TN
Founded
1969

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